HomeMy WebLinkAbout98-7416
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
7416 ~
/-07~-rJ)
o~. ~...
'. p<opertVowneq't- -y ~~~
Job Address: ~ lj
Date
MEC~IL.AL Sewer Conn
e. ~ate' Conn
~ ater Meter:
T.I.F.'s:
Parcell.D. #
don Gas:
Zoning:
Description of Work
FINAL 3-
c.o.
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
@,
Valuation or 1//
Contract Price /:3. t..5::3
City License Reg;S"at~n' ~;)
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
ynL-~) &m6()-
BUI~ . ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ ~ shall be made for each trip for each trade:
~"':iTD
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Permit No.
.....:.......t\
."..,.~~,. ..j.
STATE OF FLORIDA "~~'~,'I!'-tl..'\. .
COUNTY OF PASCO
THIS IS TO C~RTiFY T~T 1H~O~~~EEGNO~~ I~l~
:U~~~Bi~~~~~7:rn:~'OrN: ~..
HAND AND OFfiCIAL SEAL THIS
J/lfj\1 19. 4
lED ~M~N, C'EIl. OF c;RtUIT Cou;"l
?ttt ~~ tf.AL/J,du D,C.
BY .
V
mer ~ 2275
NOTICE OF COMMENCEMENT
11111111111111111111111111111111111111111111111111
9ao07631
Rcpt: 210310 Rec: 6.0000
0.00 IT: o.
g~}23/9a ____ Dpty Cler~
JED PITTMAN, PASCO COUNTY CLERK
01/23/9a 09: 14all 1 of 11-04-
OR BK 38609 PG ~
Tax Folio NoJ2.. u,. 2\ . I)Ol.l)
DD4Db. 0\ \0
State of Florida
County of 1>a~L.~
The undersigned hereby gives notice that improvement will be made to certain real property, and
in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of
Commencement.
1. Legal description of pro erty (include street address, if available): 12.. l..lt;.. 2.1. OD20. l\ii4t)D. .0\ \ n
;r
t::..j ^2.'S
3354u
2. General description of improvement:
3. Owner information - name and address:
Interest in property:
Name and address of fee simple titleholder (if other than Owner):
={ 4. Contractor - name and address:
Phone number: ~LJ 610,- ~Il+(
5. Surety - name and ~ddress: l\I I Pr
-,
Phone number:
6. Lender - name and address:
Fax number:
,. .
Amount of bond: $
Phone number: Fax number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)7., Florida Statutes (name and address):
Phone number: Fax number:
8. In addiliDn to himself, Owner designates _ of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1 )(b), Florida Statutes.
Phone number: Fax number:
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a different date is specified).
?U~Ot1~t\'i knol.<.Jr) Th VVle,
Sworn to ~bscribed before me this
o /Z~ a&
, Notary Public 'J)I>.,V I~ ~. ABU'<
My Commission Expires:
lhH8.b
mEmta&~
199'S DAVID R. ABLA
, ~'Public, State of Rorida
My Comm. Expires Aug. 23, 1998
Comm. No. CC 402501
;'1
day of -:Ja"v.
APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE
0\112"
SAN~ Lu-n-\\.-'12 A~ (rWteLt-r PHONE gl~) 7Sz. I:')h ~
2\ <:,"f ~ lr t./:A Z. e.~)1'1f n'\ \( ~
3354- U
OWNER'S ADDRESS
'4..p2r;;,
~&vY1-L
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.t \7. 2 (~ . 2. \. l.)01...\J. (')04-Do. D\) () (oBTAIN FROM PROPERTY TAX. NOTICE)
R.t.. ~u~
WORK PROPOSED:____New Construction ____Addition ----Alteration ~epair ____Install
____Sign
----1Iove
____D~olish
PROPOSED USE: ____S ingle Family
____M/F
____, of Units ____M/H
____eo..ercial
____Indust.
____Swia. Pool _Other
DESCRIPTION OF WORK:
~Restaurant & Health Departaent Approval
en
<;(\\,n. h
1
R~ - ~I,)~~
~~)
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/~~
____HECBAlfICAL
- '\
$ ~11, ~~~ice Valuation of Total Construction
:::_ Florida Power Corp.
PERMITS REOUESTED
W.R.E.C.
$
Valuation of Mechanical Installation
____PLUHBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____FrUle ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BUILDER.
COMPANY
State Cert. or Regist. t
City License Registration t
..........................................
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration t
.*************************************.*.*
Simulture
PLUHBER.
COMPANY
State Cert. or Regist. f
City License Registration t
..........................................
Signature
HEGHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
OTHER. i~ UA.J................::...;..~-;;...;::~Jlv~ Iff.
State Cert. or Regist. t 65li <"
Signature City License Registration t 2../ 'b
y ........*.................................
~TION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PEI~IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" wllicll lay be lOre restrictive than City
regulatiolls. The undersigned assUles responsibility Cor cOlpliance wilh any applicable deed restrictions.
B. UNLICENSED CON'l'RAC'l'OnS AND CON'l'llAC'l'OH HESPONSIDILI'l'IES
If the owner has l!ired a contractor or contractolS to undertale worl, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, bot/I tile owner and contractor lay be
cited Cor a lisdeleanor violation under state law. If t/Ie owner or intended contractor are uncertain as to what licensing
requirl!lents lay apply Cor the intended work, they are advised to contact the City of ZepbyrbiUs Building Departlent, (813)
188-6611.
Furtherlore, if the olfner lias Ilired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
.Contractor Sections. oC tllis application Cor which they Ifill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather Ulan L1le contractor, are responsible for the Ifork. If the contractor wishes you to sign
as contractor that lay be an indication tllat he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills.
C. 'l'RANSPOU'l'A'l'ION IMPACT FEES AND U'l'ILI'l'Y CONNEC'l'ION FEES " "
D. CONS'!'UUC'l'ION LIEN LnW (CIIAP'l'EH 713, FLOIUDl\ S'fA'l'UTES, AS AMENDED)
I certify tllat 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
.owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to co..enCl!Ient.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all Ifork will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all law8
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify tbat I understand that tIle regulations of otber goverRlental agencies lay apply to tbe intended work, and that it is
IY responsibility to identify what actions I lust lale to be in cOlpliance. Such agencies include but are not Iilited to:
· Deparlllent of EnvirORlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
Water/Wastewater Treallent
· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
t DepartJent of lIealth & Rehabilitative Services, Invirolllental Health Unit - Wells, Wastewater Treal:llent, Septic Tanks
t US Envirolllental Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a draInage plan
addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the tec/mical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued sball beCOle invalid
unless the work authorized by such perlit ia cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day e1tension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF COHHENCEHHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKKRHTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICK OF
COIIIIKIIC!II T. JOOS IJIIJIR 12,500 I VALlIR DO IIOT HEIiIl TU RKCllJiU ARU POS'Zh" . I
---- W/
S SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF p~S( 0
The foregoing instrument
before me~this 1)11 (l
I
r
(Signature)
was acknowledged
, 19'j 'b by
STATK OF FLORIDA
COUNTY OF P I\S' D
The foregoing instrument was acknowledged
before me thi m }2-L, 19~ by
I (
.~
who is ersonally or who bas
produced
as identification
take an oath.
~~. ':<;,
.. ..
o -
Z f'!
OUVlA A. LOVETT .
Notal'f Pulllic, ::itate of FlOrida
My ammo expire~ Jul-.;, 28.2000
:-~:nITi No. CC~7~916
(Signature)
(Name 'l'yped,
NOTARY PUBLI
who is pe
produced
as identification
take an oath.
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
, '.
'roposal
Page No.
"';
.I.
of
Pa~es ,
.. "M8fT108r Of the FlorIda.
:~ 4. ROOfing and Sheet Met&f
. '" As8ocIatlon
~-~ .,
PROPOSAL SUBMITTED TO .
OUR SAVIOR LUTHERAN CHURCH
STREET ATTN& ORVILLE SCHAUDT
5625 21ST'STREET
CITY, STATE 8Jld ZIP C<OD!,
ZEPHYRHILLS FL
ARCHITECT
U.S. Intec Certified
Platinum Installer
#5204
~
State Certified
Builder itl...tR..U<!~~1
State Certified
Roofer ItCCC0515G2
State Registered
Roofer #RC0055215
RCI Registered
Root Consultant #0149
;:IF- 2.273
MilBar Construction, Inc.
Roofing. Concrete. CommerCIal, Residential
15911 US Hwy. 301 North. Dade City, Florida 33523 ex
352/567-6047 8001562-2393 FAX: 352/567-4454
PHONE 813/?le-1369 CHURC DATE
813/780-7036
JOB NAME
01/05/98
OUR SAVIOR LUTHERAN CHURCH
JOB LOCATION
5625 . 21ST STREET
. .' J )).} '), /l
JOB PHONE
)
DATE OF PLANS
ZEPHYRHILLS FL
0/10
We hereby submit specificallons and esllmates for:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
SHINGLE RE-RooF
(Approx 14S'x79' and 45'-6wxlS'-9W)
Tear off and haul away old roofing; clean up work area daily.
Provide and install new 30 lb. saturated felt paper.
\'
Provide and install new GAF -TiMberline 25- 25-year laminated fungus-resistant
dimensaional fiberglass shingles; owner to choose color. G~F s~1ngles have a 25-
year_ warranty on labor and material,s c...",~ ~ toe. C~.... ;;(L.~
Replace all damaged flashings (valley, vent, or any wall flashing).
Provide and install new lead boots for the plumbing vents. ~
tit. r,-
Provide and install new pre-finished aluminu~ ,avedrip (vhite or~over the
existing eavedrip.( ~.....J./,Ip V!).(( ,<- i~A-/rJ(...J. (JUtV' fL 8-'<.tfA.-s. ~
. tgeI'
Replace 160 l.f. of ridge vent with new pre-finished aluminum ridge vent.
Any rotten or damaged wood (roof deck, faSCia, trim, etc.) viII be replaced on a \
cos:t-plus b~si8 above and beyond the contract price. (J).S'O/~v '-f(~ ~ 'St...".tf ~ I~I.........J J
&..-( ,; Q.. ~ ,""'"
"ilBar Construction, Inc. to provide 5-year warranty on workmanship; exclusions:
star. damage, work done or damage by others, tree damage, and/or str~ctural damage
to roof deck.
Owner to rovide access for deliver trucks to allow roof loading/unloading for the
mf 'rOpOSf hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
SEE PAGE TWO.
Paymenlto be made as follows:
dollars ($ ).
",.' All material Is guaranteed to be as specified. All work to be completed In a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be execuled only upon written orders, and will become an extra
charge over and above the estimate. All agraements contingent upon strikes, accidents
or delays beyond our control. Owner to carry lire. tomado and other necessary Insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
, Note: This proposal may be 30
. withdrawn by us if not accepted within
Acceptance of I1roposal- The abOve prices, specifications
and conditions are satiSfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be m~de as outlined above.
Date of Acceptance:
/
Slgoal~/5 ~.
Signature"..r./,,--..</%:~44"-/,4~r
.' -.- ..' .<' ,
Member o.the FJorlda
Roofing and Sheet Metal
. A.ssociallon
~roposal
P<lye No.
ul Pay~s
U.s. Intee Certified
Plallnum Installer
#5204
~
MilBar Construction, Inc.
Roofing' Concrete. Commercial. Residential
15911 US Hwy. 301 Norlh. Dade Cily, Florllla 33523 ex
352/567-6047 800/562.2393 FAX: 352/567-4454
Slate Cerlilied
Builder #CfJC023221
Stall;! C'~'\I"ed
Huoler ilCCC051 ~)G2
Slille Regi~le'ed
Hoofer #RC0055215
RCI ReQI<;lmerJ
Huol Consulldllt #0149
PROPOSAL SUBMITTED TO
PHONE 813/782-1369 CHUR HATE
813/780-7036
JOB NAME
01/05/98
OUR SAVIOR LUTHERAN CHURCH
STREET ATTNJ ORVILLE SCHAUDT
5625 21ST STREET
CITY, STATE and ZIP CODE.
OUR SAVIOR LUTHERAN CHURCH
JOB LOCATION
ZEPHYRHILLS FL
ARCHITECT
5625 21ST STREET
OA TE OF PLANS
JOB PHONE
TAMPA, FL
We hereby submil specllicallons and esllmates lor:
entire roof B~eB.
11. "ilBar Construction, Inc. to provide General Liability and Wurkman's Compensation
Insurance ($1,000,000 limit) and re-roofing permit.
12,
OPTIONS.
"
Provide and install GAF .Timberline Ultra"
esistant dimensional fiberglass shingles;
s-
12 999.38
13, m;{~~,- Lo'^-s,+-v-...J){}1.... :fiAc... w.d s/<wd,... J/ LI
~J- I. Ti V" ~ ~'T-(.."""
f vo~ Ov..y ~i/:C>v- l-..CA.+~V'A.~ C-~~I/_~ tlt..lM.,
AtTf /"C-( '.k, ~<./C) c.e-e.)
lit J)JropOBt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
ELEVEN THOUSAND TWO HUNDRED NINETY-EIGHT AND 20/100.............. 11,298.20
dollars ($ ).
Payment to be made as lollows:
DUE AS PER APPROVED DRAW SCHEDULE.
All malerial Is guaranteed to be as specllled. All work to be compleled In a workmanlike
manner according to standard practices. Any alleratlon or devlallon Irom above speclficallons
Involving extra coats will be executed only upon wrlllen ordera, and will become an exlra
charge over and above the eslimate. All agreements conllngent upon strikes, accidents
or delays beyond our control. Owner to carry lire, tornado and other necessary Insurance.
Our workers are lully covered by Workman's Compensallon Insurance.
}~ .
l'\ccrptunce of ttroponul- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Authorized
Signature
. Note: This proposal may be 30
withdrawn by us if not accepted within
days.
Date 01 Acceptance:
s.n""'~ ;(, ~__
-/,- .~:::~ // /" ?~
Siflnflhlnt''''' ..fZ;:r r:ff'" ..~.:-/~/, 4',d"/